Active NPI
Clyde H Climer, M.D.
- Obstetrics & Gynecology Physician
- Seneca, SC
National Provider Identifier
1063413565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 40067
- Practice address
- 103 Center Park Drive
Suite a
Seneca, SC 29678-1152 - Phone
- (864) 482-2360
- Fax
- (864) 482-2365
- NPI assigned
- Aug 9, 2005
- Last updated
- Jan 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME39732 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | 40067 | SC | Primary |
Addresses
Primary practice location
103 Center Park Drive
Suite a
Seneca, SC 29678-1152
Mailing address
1 Independence PT
Suite 212
Greenville, SC 29615-4545
Phone (864) 797-6306
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067300500 | Medicaid | FL | |
| PENDING | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Woman Care LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Orlando Health, Inc. | Past | Accepting new patients | |
| Goss, Parker & Quinsey, P.a. | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1565 Saxon Blvd
Ste 203
Deltona, FL 32725
Phone (407) 834-8111
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Deltona, FL
- NPI 1174199780
-
dba DBA Advanced Women's Health Specialists
- Obstetrics & Gynecology Physician
- Lake Mary, FL
- NPI 1952354730
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Orlando, FL
- NPI 1811604325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1063413565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT",
"address_2": "SUITE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154545",
"telephone_number": "864-797-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 CENTER PARK DRIVE",
"address_2": "SUITE A",
"city": "SENECA",
"state": "SC",
"postal_code": "296781152",
"telephone_number": "864-482-2360",
"fax_number": "864-482-2365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIMER",
"first_name": "CLYDE",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME39732",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "40067",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "067300500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, SC
- Clemson Sports Medicine and Rehabilitation Inc
- Clemson-Seneca Pediatrics
- Clemson/Seneca Pediatrics and Adolescent Medicine, P.a.
- Clemsonseneca Pediatric & Adolescent Medicine, P.a.
- Aliesha Gilliard Cleveland, PHARMD
- Carmen Close, LPC
- Shana M Collins-Smith, N.P.
- Drew V Collins, M.D.
- Kakra Condua
- April Varn Cope, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.